Organization
NORTHWEST MONTANA SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G MILHEIM M.D. (GROUP EXECUTIVE)
(406) 752-5000
Entity
Organization
Contact information
Practice address
1273 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-5000
(406) 752-8220
Mailing address
1273 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-5000
(406) 752-8220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN6826
RR MEDICARE
MT
Enumeration date
12/18/2006
Last updated
04/09/2008
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